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... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... service. Position Summary: The Account Manager is responsible for maintaining strong ... 'share of customer.' The Account..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
Tommy Nobis Center Mission: Empowering People Through Employment Vision: Tommy Nobis Center envisions supportive communities where people with disabilities are afforded the opportunity to work. Tommy Nobis Center is a Veteran ..
... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... to patient's physician and Clinical..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... (PST) that drives national provider education strategy and operations along with ... physician and healthcare provider plans, education, reporting and materials are accurate ... for physician and healthcare provider..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Albuquerque New Mexico Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
